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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60339/psn-pdf
    May 20, 2020 - We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. May 20, 2020 Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported brea…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40038/psn-pdf
    December 23, 2016 - A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. December 23, 2016 A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Sentinel Event Alert. 2010;46(46):1-4. https://psnet.ahrq.gov/issue/follow-report-prevent…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37729/psn-pdf
    June 12, 2008 - Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. June 12, 2008 Jones D, George C, Hart GK, et al. Introduction of medical emergency teams in Australia and New Zealand: a multi-centre study. Crit Care. 2008;12(2):R46. doi:10.1186/cc6857. https://psnet.ahrq.gov/issue/introd…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37096/psn-pdf
    June 24, 2010 - Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. June 24, 2010 Naessens JM, Campbell CR, Berg B, et al. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41317/psn-pdf
    January 31, 2013 - Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? January 31, 2013 Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? J Adv Nurs. 2013;69(2):278-85. doi:10.1111/j.136…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37514/psn-pdf
    February 04, 2015 - Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. February 4, 2015 Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Adverse Event Costs, the Medical Liability System, and Incentives for P…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36184/psn-pdf
    June 13, 2011 - Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. June 13, 2011 Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual Saf Health Care. 2006;15(4):289-95. https://psnet.ahrq.gov/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43771/psn-pdf
    May 01, 2015 - The Public's Views on Medical Error in Massachusetts. May 1, 2015 Boston, MA: Harvard School of Public Health; December 2014. https://psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts This statewide public telephone survey in Massachusetts found that more than 20% of respondents experienced a medical …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39368/psn-pdf
    May 04, 2010 - Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission. May 4, 2010 Gleason KM, McDaniel MR, Feinglass J, et al. Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: An Analysis…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41806/psn-pdf
    October 31, 2012 - Computer viruses are "rampant" on medical devices in hospitals. October 31, 2012 Talbot D. MIT Technology Review. October 17, 2012. https://psnet.ahrq.gov/issue/computer-viruses-are-rampant-medical-devices-hospitals This article highlights risks associated with malicious software on medical equipment and how it ca…
  12. psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
    July 17, 2024 - July 17, 2024 Preventable Hospitalizations: A Window Into Primary and Preventive Care
  13. psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    August 01, 2012 - October 23, 2019 Preventable Hospitalizations: A Window Into Primary and Preventive Care
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33676/psn-pdf
    November 01, 2008 - In Conversation with…Sanjay Saint, MD, MPH November 1, 2008 In Conversation with…Sanjay Saint, MD, MPH. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph Editor's note: Sanjay Saint, MD, MPH, is Professor of Medicine at the University of Michigan and the Ann Arbor VA …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37372/psn-pdf
    August 06, 2008 - Hospitals look to improve informed consent process. August 6, 2008 O'Reilly KB. https://psnet.ahrq.gov/issue/hospitals-look-improve-informed-consent-process This article discusses the impact of health literacy on patient care and describes initiatives to improve patients' comprehension of informed consent for proc…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39734/psn-pdf
    November 14, 2011 - Man falls off surgical table; St. Joseph's Hospital sued. November 14, 2011 Smith ML; Wolfe WA. https://psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued This newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent death of a patient. https://psnet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39507/psn-pdf
    April 28, 2010 - Hospital infections hard to gauge. April 28, 2010 https://psnet.ahrq.gov/issue/hospital-infections-hard-gauge This news piece details efforts to collect, analyze, and utilize state-wide reports on health care–associated infections in Pennsylvania. https://psnet.ahrq.gov/issue/hospital-infections-hard-gauge https:/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36298/psn-pdf
    September 27, 2006 - Hospital Reporting of Deaths Related to Restraint and Seclusion.  September 27, 2006 Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350 https://psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion This report presents findings from an investigatio…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40303/psn-pdf
    May 16, 2019 - Safer Hospital Care: Strategies for Continuous Innovation, Second Edition. May 16, 2019 Raheja D. New York, NY: Productivity Press; 2019. ISBN: 9780367178482 https://psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation This publication provides various strategies to drive innovation in patient…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34123/psn-pdf
    November 02, 2014 - Preventing Infections in the Hospital—What You As a Patient Can Do. November 2, 2014 National Patient Safety Foundation; NPSF https://psnet.ahrq.gov/issue/preventing-infections-hospital-what-you-patient-can-do Postoperative infections represent a common and often preventable event. This patient fact sheet outlines…

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